Evidence map›Paper›PMID 30877271›Full record

Trial reportTranslational psychiatry2019

Regional default mode network connectivity in major depressive disorder: modulation by acute intravenous citalopram.

Arpan Dutta, Shane McKie, Darragh Downey, Emma Thomas, Gabriella Juhasz, Danilo Arnone, Rebecca Elliott, Steve Williams, J F William Deakin, Ian M Anderson

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Translational psychiatry, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
5.1field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 1 synthesis or guideline pooled it, 65 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. MDMA-induced changes in within-network connectivity contradict the specificity of these alterations for the effects of serotonergic hallucinogens.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2021
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  12. Cognitive, Disability, and Treatment Outcome Implications of Symptom-Based Phenotyping in Late-Life Depression.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 2 countries.

Arpan DuttaNeuroscience & Psychiatry Unit, Institute of Brain, Behaviour and Mental Health and Manchester Academic Health Sciences Centre, Stopford Building, University of Manchester, Manchester, M13 9PT, UK. arpan.dutta@manchester.ac.uk.ORCID http://orcid.org/0000-0003-2906-3286
Shane McKieNeuroscience & Psychiatry Unit, Institute of Brain, Behaviour and Mental Health and Manchester Academic Health Sciences Centre, Stopford Building, University of Manchester, Manchester, M13 9PT, UK.
Darragh DowneyNeuroscience & Psychiatry Unit, Institute of Brain, Behaviour and Mental Health and Manchester Academic Health Sciences Centre, Stopford Building, University of Manchester, Manchester, M13 9PT, UK.ORCID http://orcid.org/0000-0003-2755-4049
Emma ThomasNeuroscience & Psychiatry Unit, Institute of Brain, Behaviour and Mental Health and Manchester Academic Health Sciences Centre, Stopford Building, University of Manchester, Manchester, M13 9PT, UK.
Gabriella JuhaszNeuroscience & Psychiatry Unit, Institute of Brain, Behaviour and Mental Health and Manchester Academic Health Sciences Centre, Stopford Building, University of Manchester, Manchester, M13 9PT, UK.
Danilo ArnoneCentre for Affective Disorders, Institute of Psychiatry, Psychology and Neuroscience, King's College London, De Crespigny Park, London, SE5 8AF, UK.
Rebecca ElliottNeuroscience & Psychiatry Unit, Institute of Brain, Behaviour and Mental Health and Manchester Academic Health Sciences Centre, Stopford Building, University of Manchester, Manchester, M13 9PT, UK.
Steve WilliamsCentre for Imaging Science and Manchester Academic Health Sciences Centre, Stopford Building, University of Manchester, Manchester, M13 9PT, UK.
J F William DeakinNeuroscience & Psychiatry Unit, Institute of Brain, Behaviour and Mental Health and Manchester Academic Health Sciences Centre, Stopford Building, University of Manchester, Manchester, M13 9PT, UK.ORCID http://orcid.org/0000-0002-2750-962X
Ian M AndersonNeuroscience & Psychiatry Unit, Institute of Brain, Behaviour and Mental Health and Manchester Academic Health Sciences Centre, Stopford Building, University of Manchester, Manchester, M13 9PT, UK.
Manchester Academic Health Science Centre · GBKing's College London · GBSemmelweis University · HU

Funding

Medical Research Council G0601526Medical Research Council G0900593Wellcome Trust
6 · The paper itself

Abstract

The relationship between altered default mode network (DMN) connectivity and abnormal serotonin function in major depressive disorder (MDD) has not been investigated. Using intravenous citalopram and resting-state fMRI, we investigated DMN intra-network connectivity and serotonin function in 77 healthy controls and patients with MDD. There were no significant main effects of MDD or citalopram on DMN intra-network connectivity; however, significant interactions indicated that group differences under saline were modified by citalopram. In MDD patients during saline infusion, in contrast with controls, the DMN (i) did not include the precuneus that was instead part of an anti-correlated network but (ii) did include amygdala that was part of the anti-correlated network in controls. Citalopram infusion in MDD patients restored the pattern seen in controls under saline. In healthy controls, citalopram infusion disengaged the precuneus from the DMN and engaged the amygdala, partially reproducing the abnormalities seen under saline in MDD. In exploratory analyses within the MDD group, greater rumination self-ratings were associated with greater intra-network connectivity of the anterior cingulate cortex with the DMN. We hypothesise that, in MDD, disengagement of the precuneus from the DMN relates to overgeneral memory bias in rumination. The opposite effect, with greater engagement of the amygdala in the DMN, reflects the negative valence of rumination. Reversal of these abnormalities by citalopram suggests that they may be related to impaired serotonin function. That citalopram engaged the amygdala in the DMN in controls may relate to the paradoxical effects on aversive processing seen with acute SSRIs in healthy subjects.

Indexed as

Administration, IntravenousAdultBrain MappingCitalopramFemaleGyrus CinguliHumansMagnetic Resonance ImagingMajor Depressive DisorderMaleNerve NetParietal LobePsychiatric Status Rating ScalesSelective Serotonin Reuptake InhibitorsYoung AdultCitalopramSelective Serotonin Reuptake Inhibitors

Identifiers

PMID30877271
PMCPMC6420575
OpenAlexW2922472639

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.